| NPI | 1154729713 |
|---|---|
| Former Name | CHINNA LYNNLL ROGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY PCSW-1036) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WY CSW-238) |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2022-09-29 |